Individual provider Active NPI

Laura Calgaro

  • Physical Therapist
  • Moline, IL
National Provider Identifier
1164874244
Registry record updated Apr 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022697 Issued in IL
Practice address
555 Valley View Dr
Moline, IL 61265
Phone
(309) 764-9675
NPI assigned
Jul 12, 2016
Last updated
Apr 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 22921 MA
Physical Therapist 225100000X 070022697 IL Primary

Addresses

Primary practice location

555 Valley View Dr
Moline, IL 61265

Mailing address

6551 Park of Commerce Blvd
Boca Raton, FL 33487-8218

Other practice location 1

2211 Waukegan Rd
Bannockburn, IL 60015
Phone (847) 267-8600

Other practice location 2

2211 Waukegan Rd
Bannockburn, IL 60015
Phone (847) 267-8600

Other practice location 3

6551 Park Of Commerce Blvd
Boca Raton, FL 33487
Phone (800) 223-9230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22921MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrantcare Outpatient Rehabilitation West Inc Past Accepting new patients
Vibrantcare Outpatient Rehabilitation West Inc PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555200000000",
    "number": "1164874244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 PARK OF COMMERCE BLVD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334878218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-764-9675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Bannockburn",
            "state": "IL",
            "postal_code": "60015",
            "country_code": "US",
            "telephone_number": "847-267-8600",
            "fax_number": "847-267-9520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Bannockburn",
            "state": "IL",
            "postal_code": "60015",
            "country_code": "US",
            "telephone_number": "847-267-8600",
            "fax_number": "847-267-9520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6551 Park Of Commerce Blvd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "33487",
            "country_code": "US",
            "telephone_number": "800-223-9230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALGARO",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2019-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22921",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.